Consultant in Emergency General Surgery
hace 4 días
Neath
Job summaryJersey General Hospital is looking to appoint its third Consultant in Emergency General Surgery to provide a consultant-delivered, future-ready service designed around sustainable practice, patient-focused pathways, and close integration with acute care, Same Day Emergency Care and elective surgery.The appointment consolidates a model that is already functioning well and the successful consultant will join a team that values collaboration, clinical leadership, and thoughtful innovation in the delivery of emergency surgical care on the island.This Consultant post is offered at 11 Programmed Activities (PAs) per week, annualised across the year, comprising: 17 Hot Weeks - Emergency General Surgery 25 Cold Weeks - elective activity, SPA, governance, and TOIL 10 Leave Weeks - annual leave, study leave, and public holidaysSupporting Professional Activities and Time Off in Lieu are annualised in accordance with contractual rules, departmental need, and service configuration.Main duties of the jobJerseys Emergency General Surgery service is built around a consultant-delivered model, providing rapid senior assessment, timely diagnostics and clear operative decision-making.Each EGS consultant will undertake 17 weeks per year of dedicated EGS activity, scheduled in blocks and defined within an agreed annualised job plan. During EGS weeks, the consultants programmed activity will be focused on the emergency surgical service only, without routine elective commitments. This model is intended to ensure consistent senior decision-making for emergency admissions, improve flow through acute surgical pathways, and support resilience within a small consultant team, while allowing predictable recovery time and elective activity during non EGS weeks.During an Emergency General Surgery (EGS) week, between 08.00 and 18.00, the EGS consultant has overall responsibility for the delivery of emergency general surgical care for all patients currently admitted under the emergency general surgery service, as well as for new referrals received from primary care and the Emergency Department.The EGS consultant leads a daily emergency surgical ward round, personally receives and triages all emergency referrals, and undertakes emergency surgical operating as required on a blended CEPOD operating list, retaining responsibility for clinical prioritisation and operative decision making throughout the working day. About usAbout usHealth care professionals in Jersey enjoy more autonomy and the opportunity to shape the public health service on an island on a development journey.Jersey is a unique place to live and work and being a Doctor in Jersey is different. As a crown dependency, we are an Island nation which includes our own Health Care Service. And it is a service on the move with the new Enid Quenault health care facility opened in 2023 and commitment to improve and invest in further healthcare facilities including a brand-new acute hospital. Our patients and health professionals are at the centre of all we do, as a doctor you have more time to care and we give more time to you, for your development and wellbeing as well as the opportunity to carry out private patient work.Teaching and ResearchHealth and Care Jersey is recognised for junior doctors and active teaching is encouraged in this role. It is expected that the post holder is participating in the training of medical staff and that the candidate will ensure that the training and learning needs are identified and facilitated. This includes educational support for the clinical fellows recruited directly to Health & Care Jersey.Opportunities for participating in research are supported when appropriate. The Health & Care Jersey has an advantageous policy for professional leave and is supportive of external duties for the good of the wider profession.We welcome multi centre research clinical trials if approved from a body such as NHS.DetailsDate posted20 October 2026Pay schemeHospital medical and dental staffGradeConsultantSalary 119,025.18 to 213,890.27 a year Dependent on experience. ContractPermanentWorking pattern Full-time Reference numberK0011-26-0088Job locationsJersey General HospitalSt. HelierJerseyChannel IslandsJE1 3QSJerseyJob descriptionJob responsibilitiesService DevelopmentAmbulatory emergency surgical services continue to be developed, with the opening of a dedicated surgical Same Day Emergency Care unit 18 months ago forming the first phase of this work. The introduction of surgical SDEC has successfully reduced inpatient length of stay, increased daytime emergency operating activity, and improved the overall quality and timeliness of care for emergency general surgery patients. Ambulatory emergency surgery remains an active and evolving workstream, and the newly appointed consultant will be expected to play an active role in the further development, refinement and expansion of ambulatory emergency surgical pathways in collaboration with the wider multidisciplinary team.The department has a clear intention to introduce a regular hot laparoscopic cholecystectomy service as part of the ongoing development of emergency general surgery pathways. The successful implementation of this service is viewed as a key priority, and the newly appointed consultant will ideally have the appropriate skills and experience to lead the development, delivery and governance of this pathway.Elective practiceOutside of designated Emergency General Surgery (EGS) weeks, all EGS consultants contribute to the elective general surgery service in accordance with departmental need and individual competencies. This typically includes outpatient clinics, elective operating within an agreed scope of general surgery practice, and, where relevant, participation in endoscopy. Elective activity is delivered on an annualised basis, with an expectation that consultants provide regular elective operating lists and outpatient clinics across the year. During elective weeks, the job plan also incorporates clinical administrative time, supporting professional activities (SPA), and time off in lieu resulting from on call commitments. Based on an 11 PA contract, the job plan includes provision for 25 Cold Weeks, with scope to increase elective activity by mutual agreement in line with service requirements. The elective component of the role supports continuity of skills, job satisfaction and workforce retention.The general surgical department is currently working towards the introduction of a Da Vinci Robotic Operating system. Where this lies within the consultants existing scope of practice, the newly appointed EGS consultant will be involved as appropriate in the development and introduction of robotic surgery within the department. Where the appointed consultant does not already have robotic experience, appropriate support and training opportunities will be available should they wish to develop robotic surgical skills as part of their role.On Call: out-of-hoursThe senior general surgery rota is 1:6, non-resident, with Consultants available within 30 minutes. Weekend on-call runs from Friday 17:00 to Monday 08:00 and includes attendance for post-take ward rounds reflected in the Consultant Job planMiddle-grade surgeons provide robust first-on-call cover. Senior input is expected for complex decision-making, operative cases, major trauma, and deteriorating patients. Time Off in Lieu for on-call participation of 1 PA is incorporated into the annualised job planSupporting Professional ActivitiesEach Consultant receives 1.5 PAs of SPA time per week for their CPD and revalidation requirements such as QIA, audit, training and PDP activities. Up to an additional 1PA of SPA can be undertaken on agreement with the relevant Clinical Director where this SPA reflects work undertaken for the organisation.Proposed Job PlanThe proposed job plan is 10PA + 1 Additional Programmed activity. The final job plan will be agreed with the Clinical Lead and the Chief of Service for Surgical Services and ratified by the Medical Director. The post holders job plan will be reviewed annually and will be appraised according to the current guidance.An indicative weekly timetable would be expected as outlined below based on 17 Hot weeks, 25 Cold weeks and 10 weeks leave. Please note that within three months of commencing the post, the appointee is expected to agree a prospective job plan with their clinical manager. Job description Job responsibilitiesService DevelopmentAmbulatory emergency surgical services continue to be developed, with the opening of a dedicated surgical Same Day Emergency Care unit 18 months ago forming the first phase of this work. The introduction of surgical SDEC has successfully reduced inpatient length of stay, increased daytime emergency operating activity, and improved the overall quality and timeliness of care for emergency general surgery patients. Ambulatory emergency surgery remains an active and evolving workstream, and the newly appointed consultant will be expected to play an active role in the further development, refinement and expansion of ambulatory emergency surgical pathways in collaboration with the wider multidisciplinary team.The department has a clear intention to introduce a regular hot laparoscopic cholecystectomy service as part of the ongoing development of emergency general surgery pathways. The successful implementation of this service is viewed as a key priority, and the newly appointed consultant will ideally have the appropriate skills and experience to lead the development, delivery and governance of this pathway.Elective practiceOutside of designated Emergency General Surgery (EGS) weeks, all EGS consultants contribute to the elective general surgery service in accordance with departmental need and individual competencies. This typically includes outpatient clinics, elective operating within an agreed scope of general surgery practice, and, where relevant, participation in endoscopy. Elective activity is delivered on an annualised basis, with an expectation that consultants provide regular elective operating lists and outpatient clinics across the year. During elective weeks, the job plan also incorporates clinical administrative time, supporting professional activities (SPA), and time off in lieu resulting from on call commitments. Based on an 11 PA contract, the job plan includes provision for 25 Cold Weeks, with scope to increase elective activity by mutual agreement in line with service requirements. The elective component of the role supports continuity of skills, job satisfaction and workforce retention.The general surgical department is currently working towards the introduction of a Da Vinci Robotic Operating system. Where this lies within the consultants existing scope of practice, the newly appointed EGS consultant will be involved as appropriate in the development and introduction of robotic surgery within the department. Where the appointed consultant does not already have robotic experience, appropriate support and training opportunities will be available should they wish to develop robotic surgical skills as part of their role.On Call: out-of-hoursThe senior general surgery rota is 1:6, non-resident, with Consultants available within 30 minutes. Weekend on-call runs from Friday 17:00 to Monday 08:00 and includes attendance for post-take ward rounds reflected in the Consultant Job planMiddle-grade surgeons provide robust first-on-call cover. Senior input is expected for complex decision-making, operative cases, major trauma, and deteriorating patients. Time Off in Lieu for on-call participation of 1 PA is incorporated into the annualised job planSupporting Professional ActivitiesEach Consultant receives 1.5 PAs of SPA time per week for their CPD and revalidation requirements such as QIA, audit, training and PDP activities. Up to an additional 1PA of SPA can be undertaken on agreement with the relevant Clinical Director where this SPA reflects work undertaken for the organisation.Proposed Job PlanThe proposed job plan is 10PA + 1 Additional Programmed activity. The final job plan will be agreed with the Clinical Lead and the Chief of Service for Surgical Services and ratified by the Medical Director. The post holders job plan will be reviewed annually and will be appraised according to the current guidance.An indicative weekly timetable would be expected as outlined below based on 17 Hot weeks, 25 Cold weeks and 10 weeks leave. Please note that within three months of commencing the post, the appointee is expected to agree a prospective job plan with their clinical manager.Person Specification Specialist Experience EssentialEmergency general surgical experienceCompletion of an accredited higher surgical training programme Experience EssentialEmergency General Surgical Experience Competence in elective General Surgery including lap cholecystectomyCompetence in basic urological emergencies including exploration of scrotal emergenciesDesirableCompetence in acute (hot) laparoscopic cholecystectomy Enthusiastic Teacher Qualifications EssentialPrimary Medical Degree Higher Specialty qualification: FRCS or equivalentFull Registration with the General Medical Council (GMC) with a Licence to practise (for overseas candidates it is mandatory that a licence is obtained prior to appointment).Inclusion on the GMC Specialist Register/Certificate of Completion of Training (CCT) for General Medicine / Certificate of Eligibility to Specialist Registration (CESR) (or be within 6 months of obtaining this at the date of the interview - documentary evidence of this must be provided to support your application)Relevant CCST in General Surgery or equivalent (equivalent must be confirmed by PMETB/GMC by date of AAC)DesirableClinical Experience in similar NHS environment or equivalentMS or MD Person Specification Specialist Experience EssentialEmergency general surgical experienceCompletion of an accredited higher surgical training programme Experience EssentialEmergency General Surgical Experience Competence in elective General Surgery including lap cholecystectomyCompetence in basic urological emergencies including exploration of scrotal emergenciesDesirableCompetence in acute (hot) laparoscopic cholecystectomy Enthusiastic Teacher Qualifications EssentialPrimary Medical Degree Higher Specialty qualification: FRCS or equivalentFull Registration with the General Medical Council (GMC) with a Licence to practise (for overseas candidates it is mandatory that a licence is obtained prior to appointment).Inclusion on the GMC Specialist Register/Certificate of Completion of Training (CCT) for General Medicine / Certificate of Eligibility to Specialist Registration (CESR) (or be within 6 months of obtaining this at the date of the interview - documentary evidence of this must be provided to support your application)Relevant CCST in General Surgery or equivalent (equivalent must be confirmed by PMETB/GMC by date of AAC)DesirableClinical Experience in similar NHS environment or equivalentMS or MDDisclosure and Barring Service CheckThis post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.Certificate of SponsorshipApplications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Additional information Disclosure and Barring Service CheckThis post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.Certificate of SponsorshipApplications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).Employer detailsEmployer nameHealth and Community ServicesAddressJersey General HospitalSt. HelierJerseyChannel IslandsJE1 3QSJerseyEmployer's websiteEmployer detailsEmployer nameHealth and Community ServicesAddressJersey General HospitalSt. HelierJerseyChannel IslandsJE1 3QSJerseyEmployer's website
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